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What is secondhand smoke?

Secondhand smoke (also called environmental tobacco smoke, involuntary smoke, and passive smoke) is the combination of “sidestream” smoke (the smoke given off by a burning tobacco product) and “mainstream” smoke (the smoke exhaled by a smoker) (1–4).

People can be exposed to secondhand smoke in homes, cars, the workplace, and public places, such as bars, restaurants, and recreational settings. In the United States, the source of most secondhand smoke is from cigarettes, followed by pipes, cigars, and other tobacco products (4).

The amount of smoke created by a tobacco product depends on the amount of tobacco available for burning. The amount of secondhand smoke emitted by smoking one large cigar is similar to that emitted by smoking an entire pack of cigarettes.

What is thirdhand smoke, and why is it a concern?

Answers from J. Taylor Hays, M.D.

Thirdhand smoke is residual nicotine and other chemicals left on indoor surfaces by tobacco smoke. People are exposed to these chemicals by touching contaminated surfaces or breathing in the off-gassing from these surfaces. This residue is thought to react with common indoor pollutants to create a toxic mix including cancer-causing compounds, posing a potential health hazard to nonsmokers —, especially children.

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